anti wrinkle and dermal fillers

Anti-wrinkle and Dermal Fillers

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Anti-Wrinkle Injections

What Are Anti-Wrinkle Injections?

Anti-wrinkle injections work by gently relaxing specific facial muscles to soften lines, reduce creases, and create a smoother, more refreshed appearance. They are one of the most popular and effective treatments for rejuvenating the upper face while maintaining natural facial expression. These injections are particularly effective at treating dynamic lines the lines that appear when you smile, frown, or raise your eyebrows.

  • However, it is important to note that anti-wrinkle injections are not suitable for smoothing static lines on the lower face. Lines such as those on the cheeks, smoker’s lines around the mouth, or the nose-to-mouth (nasolabial) folds are best treated with dermal fillers, which replace lost volume rather than relax muscles.
  • In many cases, the most natural-looking results are achieved by combining anti-wrinkle injections with dermal fillers, depending on your individual assessment.

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Areas That Can Be Treated

Upper Face – most common areas

  • Forehead lines
  • Frown lines (glabella / “11s”)
  • Crow’s feet

Other Advanced Treatment Areas

  • Gummy smile – reduces excessive gum show
  • Bunny lines – lines on the nose
  • Brow lift – subtle lifting of the eyebrows
  • Chin dimpling / Orange-peel chin
  • Drooping mouth corners – help create a softer, upturned look
  • Neck lines & platysmal bands – Nefertiti lift
  • Teeth grinding / jaw clenching – masseter reduction
  • Underarm sweating / hyperhidrosis – significantly reduces excessive sweating

Procedure Information

TREATMENT TIME

TREATMENT TIME

Typically 20- 30 minutes.

BACK TO WORK

BACK TO WORK

Immediately, no downtime.

RESULTS

RESULTS

Results develop gradually over 10 -14 days. Effects last 3 – 4 months, after which treatment can be repeated.

ANAESTHETIC

ANAESTHETIC

No anaesthetic is required, but we offer numbing cream beforehand for comfort.

Who are Anti-Wrinkle Injections Suitable For?

Men and women, all skin types and all ethnicities.

Possible Risks & Complications

As with any injectable treatment, there are potential risks, although these are uncommon. They may include:

  • Bruising
  • Redness
  • Mild swelling
  • Headache
  • Infection (rare)
  • Temporary eyebrow or eyelid heaviness or drooping (also rare)
Before Your Treatment

Before Your Treatment

Your clinician will advise you during your consultation if there is anything specific you personally should consider before treatment. To help ensure the best possible treatment experience, we recommend:

  • Arriving with clean skin (no makeup on the treatment area).
  • Avoiding alcohol for 24 hours beforehand, as this may increase the chance of temporary bruising.
  • Avoiding intense exercise just before your appointment.
  • Feeling unwell? please let us know. Alos if you have any active skin irritation or inflammation.
  • Scheduling – we recommend scheduling treatment at a time when you have no important events soon after, in case minor redness or small marks temporarily appear.
  • Medication & Supplements* being aware that certain medications and supplements, such as aspirin, ibuprofen, and others that may thin the blood, can increase the risk of bruising.
  • Avoid vitamin E or fish oil supplements for a few days prior to your treatment.
  • Vaccinations – please do not have any type of injectables two weeks before or 3 weeks after a Covid vaccination / or any type of vaccination.

*Please do not stop any medication unless you have been advised by your doctor.

Aftercare

Your clinician will provide full aftercare guidance at your appointment. To support the best healing and treatment outcome:

  • Avoid touching or rubbing the treated areas immediately after treatment
  • Keep your face upright for several hours
  • Avoid heat, steam rooms, and intense exercise for the remainder of the day
  • Makeup can usually be applied later the same day once the skin is settled
  • Minor redness, small bumps, or light swelling usually settle quickly
  • Avoid having any other cosmetic treatments in the same area for two weeks to allow the muscle-relaxing injections to settle fully
aftercare

FAQs – Anti-Wrinkle Treatment

What are anti-wrinkle injections?

Anti-wrinkle injections relax specific facial muscles to soften expression lines such as frown lines, crow’s feet, and forehead lines. The result is a fresher and naturally rested appearance.

They temporarily reduce the movement of specific muscles. When the muscles relax, the overlying skin becomes smoother and fine lines appear softened. This helps prevent lines from becoming deeper over time.

What is the difference between muscle relaxant injections and dermal filler?

Muscle relaxants soften expression lines, whereas dermal fillers restore lost volume and enhance facial contours.

How will I know which product is right for me?

During your consultation, we assess your anatomy, muscle movement, and goals to recommend the most suitable treatment.

Which areas can be treated with anti-wrinkle injections?

Common areas include the forehead, frown lines, crow’s feet, bunny lines, lip flip, gummy smile, downturned mouth corners, masseter jaw slimming, and neck bands.

When is the ideal time to start anti-wrinkle treatment?

Many patients begin when they notice fine lines or choose preventative treatment in their mid 20s or early 30s.

Is anti-wrinkle treatment available for men and women?

Yes, the treatment is suitable for all genders.

Are there any age restrictions for anti-wrinkle injections?

Patients must be 18 or older.

Can I have anti-wrinkle injections while pregnant or breastfeeding?

No, this treatment is not recommended during pregnancy or breastfeeding.

Do anti-wrinkle injections hurt?

Most patients find it very comfortable. The procedure is done using a very fine needle. We also offer numbing cream if you prefer.

How long will the injecting take?

Usually 15–20 minutes depending on the areas treated.

Can I still make expressions after I have had anti-wrinkle injections?

Yes, our approach softens lines while maintaining natural facial movement

How long does it take to notice the results after anti-wrinkle injections?

Results develop gradually over 7–14 days, leaving you looking refreshed rather than ‘treated’.

Do the results of anti-wrinkle injections vary between people?

Yes, based on muscle strength, metabolism, and lifestyle.

Are the results of anti-wrinkle treatment permanent?

No, the effects gradually fade as muscle movement returns.

How long do the results of anti-wrinkle treatment last?

Typically 3–4 months, sometimes longer with regular treatments.

What happens when the results of anti-wrinkle treatment wear off?

Lines gradually return to their natural state.

How often can I have anti-wrinkle injections?

Most patients return every 3–4 months

Is anti-wrinkle injection treatment reversible?

Results fade naturally over time but cannot be instantly reversed. We always take a conservative approach.

Will anti-wrinkle treatment prevent new wrinkles forming?

Yes, regular treatments reduce repeated skin folding and can slow the development of deeper lines.

Are muscle relaxants right for me?

They are ideal for softening expression lines and preventing deeper wrinkles. Suitability is assessed during consultation 

Who should avoid anti-wrinkle injections (Botox®)?

Anti-wrinkle injections are suitable for most people, but there are certain situations where treatment is not recommended. You should avoid this treatment if:

• You are pregnant or breastfeeding
• You have a known allergy to any of the ingredients used in the product
• You have an active infection, cold sore, or skin irritation in the area
• You have certain neuromuscular conditions (your clinician will discuss this during consultation)
• You are feeling unwell on the day of your appointment
• You have recently had specific medical or cosmetic treatmentsin the same area
• Your clinician feels that the treatment is not suitable for your anatomy or aesthetic goals

Important Note
All treatments, recommendations, and treatment plans are subject to the outcome of your consultation. During this appointment, your clinician will assess your facial anatomy, medical history, and aesthetic goals to ensure that any treatment is both appropriate and safe, and that it will achieve the most natural and beneficial result for you. Your clinician will also explain all potential risks clearly and tailor the treatment plan to your individual needs.

Dermal Fillers

What Are Dermal Fillers?

Dermal fillers are smooth, gel-like injections made from hyaluronic acid a substance naturally found in the skin. They are used to restore lost volume, enhance facial contours, and soften deeper lines, creating a more balanced, youthful, and refreshed appearance.

Unlike anti-wrinkle injections, which relax the muscles, dermal fillers work by adding structure and support, beneath the skin. This makes them ideal for treating areas where lines are caused by volume loss rather than muscle movement.

Results are immediate, natural-looking, and can last between 9–18 months, depending on the area treated.

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What Can Dermal Fillers Treat?

What Can Dermal Fillers Treat?

Volume & Contour Enhancement

  • Cheeks – restore volume, lift, and sculpt
  • Chin – improve profile and definition
  • Jawline – sharper, more contoured appearance

Lips

  • Lip enhancement
  • Lip definition and symmetry
  • Hydration and smoothing

Lines & Folds

  • Nasolabial folds (nose-to-mouth lines)
  • Marionette lines (mouth-to-chin lines)
  • Smoker’s lines / lip lines

Non-Surgical Nose Contouring

  • Subtle reshaping and balancing of nasal profile

In many cases, dermal fillers can also beautifully complement anti-wrinkle injections to rejuvenate the face from multiple angles.

Procedure Information

TREATMENT TIME

TREATMENT TIME

Typically 30 – 45 minutes.

BACK TO WORK

BACK TO WORK

Same day – 24 hours (depends on area treated and individual factors.) Possible mild swelling/bruising.

RESULTS

RESULTS

Immediate, with final refinement over 1–2 weeks. Results typically last 9–18 months, depending on the area.

ANAESTHETIC

ANAESTHETIC

Most fillers contain local anaesthetic. We can also apply topical numbing cream for comfort.

Who are fillers suitable for?

Men and women, all skin types and all ethnicities

Who Should Avoid Dermal Fillers?

Dermal fillers may not be suitable if:

  • You are pregnant or breastfeeding
  • You have a known allergy to hyaluronic acid fillers
  • You have an active infection, acne flare, or cold sore in the area
  • You have recently had other treatments in the same area
  • You are feeling unwell on the day of your appointment
  • Your clinician determines treatment is not appropriate for your anatomy or goals
  • If you have an allergy to bee or wasp stings please tell your clinician, this could mean you should avoid dermal fillers
  • Your suitability will always be assessed thoroughly during consultation.
Aftercare

Aftercare

To help your treatment settle beautifully:

  • Avoid touching or massaging the area unnecessarily.
  • Avoid intense heat (saunas, steam rooms), strenuous exercise, and alcohol for 24 hours.
  • Minor swelling, redness, or bruising is normal and typically resolves within a few days.
  • Makeup can usually be applied after the skin has settled.
  • Avoid other cosmetic treatments in the same area for two weeks.
  • Your clinician will provide full personalised aftercare advice.

FAQs – Dermal Fillers

What is dermal filler?

Dermal fillers are smooth, hyaluronic-acid–based gels used to restore volume, enhance facial contours, and improve symmetry. It is made up of stabilised non-animal hyaluronic acid, which is tissue friendly and closely resembles the hyaluronic acid that exists naturally in the body.

Different fillers are used in different areas of the face because they have different thicknesses (called G-prime) and behave differently once injected.

What is the difference between Botox and dermal filler?

Botox / Anti-wrinkle injections relax facial muscles to soften expression lines.
Dermal fillers restore lost volume, smooth hollow areas, and enhance features such as lips, cheeks, chin, and jawline.

They treat different concerns, and many patients benefit from having both for a balanced, youthful result.

How will I know which product will be right for me?

During your consultation, we assess your facial anatomy, skin quality, and goals. We select the ideal filler type and density for each area to achieve natural, refined results.

What areas can be treated with dermal fillers?

• Dermal fillers can treat a wide range of concerns, including:
• Cheeks – restore lift and contour
• Lips – shape, hydration, and volume
• Chin – improve projection and profile balance
• Jawline – definition and structure
• Temples – soften hollowing
• Tear troughs – reduce under-eye hollows and tired appearance
• Nasolabial folds & marionette lines – soften deeper creases
• Non-surgical rhinoplasty 

Each treatment is tailored to enhance your natural proportions.

What is the ideal age to start dermal filler treatment?

There is no set age. Patients typically start in their:

• 20s–30s for lip shaping and contouring
• 30s–40s for volume restoration
• 40s+ for rejuvenation and structure

The goal is always natural enhancement at any age.

Are there any age restrictions for dermal filler treatment?

Yes. Dermal fillers are only available for patients 18 years and older.

Can I have dermal fillers if I am pregnant or breastfeeding?

No. Dermal fillers are not recommended during pregnancy or breastfeeding.

Is dermal filler treatment suitable for men and women?

Absolutely. We tailor treatments based on male or female facial anatomy to ensure natural, gender-appropriate results.

Does dermal filler treatment hurt?

Most patients find treatment very comfortable.
We use fillers containing lidocaine (an anaesthetic) and offer numbing creamfor extra comfort.

How long does the dermal filler injecting take?

Most dermal filler treatments take 20–40 minutes, depending on the area.

When will I see results of dermal filler treatment?

Immediately. Some swelling may be present for 24–72 hours, but the final result appears once everything settles.

Can I still make expressions after dermal filler treatment?

Yes. Dermal fillers do not affect facial movement.
They simply enhance or restore structure, keeping your expressions completely natural.

Will people know I’ve had dermal filler treatment?

Most people notice you “look refreshed” or “more defined” rather than seeing obvious treatment. We specialise in natural, subtle enhancements.

Do the results of dermal filler treatment vary from person to person?

Yes. Longevity and effect depend on metabolism, lifestyle, filler type and treatment area. We choose premium products to ensure the most consistent outcome.

Are the results of dermal filler treatment permanent?

No. Hyaluronic acid fillers gradually dissolve over time.

What if I don’t like the result of dermal filler treatment?

Dermal fillers made from hyaluronic acid can be dissolved using an enzyme called hyaluronidase, if required. This is only suitable for patients who do not have an allergy or sensitivity to hyaluronidase. Your clinician will always assess this carefully during your consultation to ensure the treatment is safe and appropriate for you.

How long do results last following dermal filler treatment?

Typically 9–18 months, depending on the area and filler used. Areas with more movement (e.g., lips) may have shorter longevity than structural areas (e.g., chin, jawline).

Will it last longer if more filler is injected?

Not necessarily. Longevity depends on product type, placement, and your metabolism – not quantity. We focus on the right amount, not more.

What happens when the results of dermal filler treatment wear off?

The treated area gradually returns to its natural pre-treatment state.
It does not cause sagging or worsening.

How often will I need to repeat the dermal filler treatment?

Most patients return every 9–12 months for maintenance.

Lips may require more frequent visits due to natural movement.

Is dermal filler treatment reversible?

Yes – hyaluronic acid fillers can be dissolved if required, offering a high level of safety and peace of mind.

Will dermal filler treatment prevent new wrinkles from forming?

Fillers are not primarily intended to prevent wrinkles, but by restoring volume and support, they can indirectly soften creases and reduce further deepening.

What can I expect following dermal filler treatment?

You may experience mild swelling, small lumps, or occasional bruising.
These typically settle within a few days.
Most patients return to normal activities immediately.

Who should carry out dermal filler treatment?

Dermal fillers should only be administered by a qualified medical professional trained in advanced facial anatomy and complication management.

Are dermal fillers right for me?

Fillers may be ideal if you are looking to:

• Restore lost volume
• Soften tired or aged appearance
• Enhance facial definition
• Balance asymmetry
• Achieve subtle, natural enhancement

Your suitability will be confirmed during your consultation.

Can I have dermal filler if I’m allergic to bee or wasp stings?

A bee or wasp sting allergy does not automatically prevent you from having dermal filler. Most fillers are made from hyaluronic acid, which is generally well tolerated.
 
However, bee and wasp venom contains hyaluronidase, an enzyme also used to dissolve filler if required. In patients with a history of severe or anaphylactic reactions, there may be an increased risk if hyaluronidase were needed. For this reason, patients with a severe bee or wasp sting allergy are not recommended to be treaded with dermal filler. Safety will always be prioritised.

Important Note
All treatments, recommendations, and treatment plans are subject to the outcome of your consultation. During this appointment, your clinician will assess your facial anatomy, medical history, and aesthetic goals to ensure that any treatment is both appropriate and safe, and that it will achieve the most natural and beneficial result for you. Your clinician will also explain all potential risks clearly and tailor the treatment plan to your individual needs.

Dissolving Dermal Filler with Hyaluronidase (Hylase)

What Is Hyaluronidase?

Hyaluronidase (often known as Hylase) is an enzyme that can safely break down hyaluronic acid dermal filler. Because most modern fillers are made from hyaluronic acid – a substance naturally found in the skin – this enzyme allows unwanted or uneven filler to be dissolved.

Use of Hyaluronidase in Emergencies due to Rare Complications

  • Although dermal fillers are generally very safe when carried out by trained and experienced clinicians, rare complications can occur. One of the most serious is vascular compromise, where filler unintentionally affects a blood vessel. This requires immediate recognition and management by a trained medical professional.
  • In these rare situations, hyaluronidase may be used urgently to dissolve the hyaluronic acid filler involved. This treatment must be administered promptly by an appropriately qualified clinician, as delays may increase the risk of complications. Your safety is always the priority, and your clinician is trained to recognise concerns and act accordingly.

When Can Hyaluronidase Be Used?

Please note, Hyaluronidase is only effective on hyaluronic acid fillers – not other types of fillers. It may be used by a qualified clinician in situations such as:

  • A patient does not like the appearance of a filler result
  • Filler has migrated or created unevenness
  • A previous filler treatment performed elsewhere needs correcting
  • The area needs to be returned to its natural state before new treatment is planned
  • Overfilled areas
  • Lumps or bumps caused by filler
  • Filler placed too superficially
  • Rare complications (your clinician will explain if relevant)
When Can Hyaluronidase Be Used?

FAQs – Dissolving Dermal Filler with Hyaluronidase (Hylase)

What are the Risks & Side Effects of Hyaluronidase?

As with any injectable treatment, there are potential risks. These may include:

• Temporary swelling
• Redness
• Bruising
• Stinging sensation during the procedure
• Allergic reaction (this is why prior assessment is essential)
• Dissolving naturally occurring hyaluronic acid – uneven appearance following treatment 
• Multiple treatments may be required depending on the amount of filler to be dissolved – could tigger cold sore if used to dissolve filler around the mouth 

Your clinician will explain all potential risks during your consultation and ensure that the procedure is safe for you.

Will I need a Patch Testing Before Hyaluronidase?

Yes. Your safety is always our priority, and patch testing is an important step in making sure the treatment is suitable for you.

• Because hyaluronidase can cause allergic reactions in some individuals, your clinician will carry out a small patch test before any treatment is performed. This involves placing a tiny amount of the enzyme on a small, discreet area of the skin to monitor your response. 
The purpose of this test is to ensure that you do not have a sensitivity or allergy to hyaluronidase before the full treatment is carried out. Your clinician will assess the area carefully and confirm whether it is safe and appropriate for you to proceed.

How Soon Can I Dissolve My Dermal Filler?

In general, if you have recently had dermal filler, it is recommended not to dissolve it for cosmetic reasons within the first 14 days of your initial treatment. This allows the filler time to settle, integrate, and for any early swelling to resolve, so the area can be properly assessed.
 
However, in rare emergency situations, such as when a clinician suspects vascular compromise, treatment with hyaluronidase may need to be carried out immediately. In these cases, dissolving the filler should not be delayed, and urgent management by an appropriately qualified clinician is essential.

Can I Have Dermal Filler Again After Dissolving?

Yes — most people can have dermal filler again after hyaluronidase, as long as they are not allergic to the enzyme and the area has fully settled. But you should wait 14 days after your treatment with hyaluronidase   Your clinician will guide you on the safest timing and the best approach for your goals.

Can I have Hyaluronidase if I’m allergic to bee or wasp stings?

A bee or wasp sting allergy does not automatically prevent you from having dermal filler. Most fillers are made from hyaluronic acid, which is generally well tolerated.
 
However, bee and wasp venom contains hyaluronidase, an enzyme also used to dissolve filler if required. In patients with a history of severe or anaphylactic reactions, there may be an increased risk if hyaluronidase were needed. For this reason, patients with a severe bee or wasp sting allergy are not recommended to be treaded with dermal filler. Safety will always be prioritised.

Important Note
All treatments, recommendations, and treatment plans are subject to the outcome of your consultation. During this appointment, your clinician will assess your facial anatomy, medical history, and aesthetic goals to ensure that any treatment is both appropriate and safe, and that it will achieve the most natural and beneficial result for you. Your clinician will also explain all potential risks clearly and tailor the treatment plan to your individual needs.

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